Eric Alexander Davenport (NPI# 1386004950, PAC ID# 1557667417) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1386004950 |
| PAC ID by PECOS | 1557667417 |
| Professional Enrollment ID | I20160303000364 |
| Full Name | Eric Alexander Davenport |
| Organization Legal Name | SUMMIT MEDICAL GROUP, INC |
| Address |
85 N Grand Ave Ft Thomas KY 41072-1793 |
| Phone Number | 8595785880 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Group Practice PAC ID | 2163326240 |
| Number of Group Practice Members | 441 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4900 Houston Rd, Florence, KY 41042-4824 | 8592127700 | SUMMIT MEDICAL GROUP, INC |
| 85 N Grand Ave, Ft Thomas, KY 41072-1793 | 8595785880 | SUMMIT MEDICAL GROUP, INC |
| Organization Legal Name | SUMMIT MEDICAL GROUP, INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne C Brown | Family Practice | Summit Medical Group, Inc | 204 Bridgeway St, Aurora, IN 47001-1334 |
| Street Address |
85 N GRAND AVE |
| City | FT THOMAS |
| State | KY |
| Zip | 41072-1793 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leonardo Anthony Geraci | General Surgery | Summit Medical Group, Inc. | 85 N Grand Ave, Fort Thomas, KY 41075-1793 |
| Andrew Richard Tee | Emergency Medicine | Compass Emergency Physicians Psc | 85 N Grand Ave, Fort Thomas, KY 41075-1793 |
| Roberta L O'brien | Nurse Practitioner | Nautilus Health Care Group Plc | 85 N Grand Ave, Fort Thomas, KY 41075-1793 |
| Audrey Ertel | General Surgery | Summit Medical Group, Inc. | 85 N Grand Ave, Fort Thomas, KY 41075-1793 |
| Andrew Wentworth Elliott | Emergency Medicine | Compass Emergency Physicians Psc | 85 N Grand Ave, Fort Thomas, KY 41075-1793 |
| Kevin Meyer | Emergency Medicine | Compass Emergency Physicians Psc | 85 N Grand Ave, Fort Thomas, KY 41075-1793 |
| Brian James Miller | Emergency Medicine | Compass Emergency Physicians Psc | 85 N Grand Ave, Fort Thomas, KY 41075-1793 |
| City | FT THOMAS |
| Zip Code | 41072 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | FT THOMAS + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.